Medicare Dental Reimbursement Specialists

If you have Medicare,
your dental care
may be covered.

Millions of Medicare patients pay out-of-pocket for dental procedures that Medicare may reimburse — because no one told them it was possible. YESONUS Dental Elite fixes that.

🦷 I'm a Patient — Start Here 📞 Call 408-634-0440
Senior holding Medicare card — YESONUS Dental Elite helps recover Medicare reimbursements
"I've had this card for years and didn't know it could help pay for my dental work."
Many patients don't realize:
Your red, white & blue Medicare card may cover dental procedures connected to health conditions. Most patients — and even some dentists — never know this pathway exists.
64M+
Medicare beneficiaries in the US
$4,200
Average reimbursement per qualifying case
98%
Of qualifying procedures go unfiled every year
24hr
Response time from our team
The Key Insight

Your mouth is connected
to your entire body.

When dental problems are linked to serious health conditions, the treatment isn't just "dental" anymore — it's medically necessary. That changes everything about what Medicare will cover.

Oral and Overall Health diagram showing connection between oral health and systemic conditions including Alzheimer's, stroke, heart disease, diabetes, and lung disease
Oral health is directly linked to Alzheimer's, stroke, heart disease, lung disease, and diabetes — making dental treatment medically necessary for millions of seniors.
Plain-Language Definition
What does "Medically Necessary" actually mean?
"Medically necessary" means a doctor says the dental treatment is required to treat or prevent a health condition — not just for appearance or comfort. When a physician puts that in writing, Medicare sees the dental work as medical care, not routine dental. That's when reimbursement becomes possible.
❤️
Heart Disease: Gum disease bacteria can travel through the bloodstream and damage heart valves. Treating gum disease may be medically necessary before cardiac surgery.
🩸
Diabetes: High blood sugar makes gum disease worse, and gum disease makes blood sugar harder to control. Deep cleaning becomes medically necessary treatment — not just dental cleaning.
😴
Sleep Apnea: A dentist-made oral appliance prescribed for sleep apnea is considered medical equipment — covered by Medicare Part B when properly documented.
🧠
Alzheimer's & Stroke: Research links poor oral health to cognitive decline and stroke risk. Preventive oral treatment in high-risk patients may qualify as medically necessary care.
The Real Cost

Most patients face real hardship
when they don't have to.

Seniors on fixed incomes are making impossible choices — skipping dental care, going into debt, or suffering in pain — because no one told them Medicare may cover it.

📄💸😔
"I had to choose between my prescription and my tooth."
A story shared by too many Medicare patients every single day.
The hardship is real —
but often completely preventable.
Medicare Part B may cover what your dentist already did.
✕ What most seniors experience
✕ Told "Medicare doesn't cover dental" — and the conversation ends there
✕ Pay full out-of-pocket — or skip care entirely because it's unaffordable
✕ Borrow money, use credit cards, or depend on family just to get a tooth fixed
✕ Suffer preventable health complications because untreated oral disease worsens systemic conditions
✓ What is actually possible
✓ A physician documents the medical necessity of the dental procedure
✓ The claim is filed with Medicare under the correct medical billing codes
✓ Medicare reimburses hundreds — sometimes thousands — of dollars
✓ The patient keeps their money, their health, and their dignity
The Real Reason

Why hasn't anyone
told me this before?

🦷
Dentists bill dental insurance — not Medicare
Most dental offices are set up to bill Delta Dental, Cigna, or Aetna dental plans. They don't have the medical billing infrastructure to file Medicare Part B claims — and most never learned the pathway exists.
👨‍⚕️
Your doctor doesn't know which dental procedures qualify
Primary care physicians rarely know which dental procedures cross into medical necessity territory. Nobody sits at the intersection — until now. YESONUS bridges the gap between your dentist and your doctor.
📋
Medicare's own rules are confusing — even to providers
Medicare's language says it doesn't cover "routine dental." That is true. But "medically necessary dental" is a completely different category — and it requires correct documentation, correct codes, and correct filing. That's a specialty skill most offices don't have.
💡
YESONUS Dental Elite was built exactly for this
We sit at the intersection of oral health and medical billing. We know the codes, the documentation requirements, and how to work with your physicians to build an airtight Medicare claim.
👴📬💳
"Nobody at the dentist's office, the doctor's office, or Medicare ever connected the dots for me."
— The experience of most Medicare patients
The YESONUS difference
We are the first company built specifically to recover Medicare dental reimbursements — with MD & ENT coordination, correct medical billing, and a secure patient vault for every case.
Qualifying Procedures

Dental procedures Medicare
may reimburse.

Any dental procedure tied to a diagnosed medical condition — supported by physician documentation — may qualify for Medicare reimbursement. These are the most common.

Scaling and Root Planing SRP
Scaling & Root Planing (SRP)
Medically necessary when linked to diabetes, heart disease, or respiratory conditions. Medicare Part B pathway available with physician letter.
Oral Appliance Therapy OAT
Oral Appliance Therapy (OAT)
Custom dental devices for sleep apnea are Medicare Part B durable medical equipment (E0486) when AHI is documented by a physician.
Bone Graft dental procedure
Bone Grafts & Jaw Surgery
Jaw reconstruction, bone grafting pre-radiation, or post-trauma repair filed under surgical CPT codes — not dental codes.
Now Qualifying
Dental Implant
Dental Implants
Medically necessary post-cancer treatment, post-trauma, or documented severe bone loss. Physician support letter required for Medicare filing.
Now Qualifying
Crowns and Bridges
Crowns & Bridges
When required to restore function related to a covered medical condition, fracture repair, or pre-surgical oral clearance before cardiac or transplant procedures.
Now Qualifying
Dentures
Dentures (Full & Partial)
Medically necessary replacement after cancer radiation, chemotherapy, trauma, or systemic disease that caused documented tooth loss.
Oral Cancer Exam
Oral Cancer Biopsy & Screening
Covered under Medicare Part B diagnostic and surgical benefits. Biopsy (CPT 40808) and tissue pathology are reimbursable procedures.
TMJ Disorder
TMJ / TMD Treatment
When linked to a diagnosed neurological, musculoskeletal, or systemic condition. Arthrocentesis (CPT 29804) eligible for Medicare Part B.
🏥
Pre-Surgical Clearance
Pre-Transplant & Pre-Cardiac Oral Exams
Required oral clearance before kidney, heart, or liver transplants, and before cardiac valve procedures — covered under Medicare Part B.
The Patient Process

Here is exactly what
happens — step by step.

Every YESONUS case follows the same clear, secure process. You always know exactly where your case stands — inside your personal secure vault.

1
🖥️
Apply as a Patient Online
Visit start.yesonus.com and click "I'm a Patient." Complete your application — it takes about 5 minutes. Tell us your procedure, your health conditions, and your Medicare information.
* Don't have your documents ready?
No problem — you can skip uploading documents for now. You will receive a secure email from our team with access to your personal YESONUS Vault, where you can upload everything at your own pace once you're ready.
2
📧
Upload Your Required Documents
You will receive an email from our team with a secure link asking you to upload the documents Medicare Part B requires — including your dental records, physician notes, Medicare card, and insurance information. We guide you through every document needed.
3
🔐
Access Your Personal Secure Vault
You receive access to your YESONUS Vault — a personal, HIPAA-compliant secure portal where you can see every document, communicate with our team, track your claim status, and store your health records safely throughout the process.
4
🩺
MD Review & CMS-1490S Form
After our team and collaborating physicians review your case, you receive a copy of the prepared CMS-1490S Medicare reimbursement form (the official Medicare Patient's Request for Medical Payment) along with all supporting documents — ready for your review before final submission.
📋 Form CMS-1490S
5
✍️
You Review, Sign & We Submit
Once you review and approve all prepared documents in your vault, you sign electronically. Our certified medical billing team then submits your complete Medicare Part B reimbursement claim — with all physician documentation and correct medical codes attached.
6
💰
Your Reimbursement Check Arrives
Medicare processes and reviews the claim. If approved, your reimbursement check is issued directly from Medicare. Please allow approximately 6 months for the full Medicare review and payment process to complete. We keep your vault updated throughout.
⏱ Approx. 6 months processing
🔐
Your YESONUS Vault stays with you the entire time
Every document, every communication, every status update lives in your secure, encrypted personal vault. You always know exactly where your case stands — and your health records stay protected long after the claim is resolved.
Transparent Pricing

Simple fees.
Disclosed before
any work begins.

Our service fee is based on the Medicare reimbursement tier your case qualifies for. No hidden costs. No surprises. Your exact fee is quoted before you commit to anything.

Tier Medicare Reimbursement Amount What's Included Service Fee
StarterUp to $3,000Case review, MD coordination, claim preparation & submission$299
EssentialUp to $6,000Case review, MD/ENT coordination, full claim filing support$499
StandardUp to $9,000Full coordination, treatment plan review & appeals support$699
AdvancedUp to $12,000Full coordination, provider matching & patient advocacy$899
ProfessionalUp to $15,000White-glove full coordination from case review to completion$999
Premium$15,001–$20,000White-glove coordination for high-recovery cases with complex filing$1,250
ConciergeOver $20,000Concierge — complex multi-procedure cases, full audit support$1,500
✅
Your fee is quoted before you commit. After our team reviews your application, we tell you exactly which tier applies and what your service fee will be — before any paperwork is filed or any billing work begins. Service fees are for documentation, MD coordination, and billing services. Fees apply regardless of Medicare's final reimbursement determination. Call 408-634-0440 with questions.
For Dental Practices

Your senior patients are
leaving money on the table.

If your practice treats patients over 65, a meaningful portion of the work you already do qualifies for Medicare reimbursement. YESONUS sets up the billing pathway — you focus on care.

Medicare Recovery · Sample Practice · Q1 2026
🦷
SRP — D4341 / D4342 (Full Mouth)
Perio + Diabetes · Medicare Part B
$1,840
😴
Oral Appliance — E0486
Sleep Apnea · AHI documented
$2,200
🔩
Dental Implant — post-trauma
Medically necessary · physician documented
$3,400
👑
Crown — pre-cardiac surgery clearance
Medically necessary · cardiac pathway
$1,100
🦴
Bone Graft — CPT 21215
Mandibular reconstruction · surgical
$3,100
Q1 Medicare Recovery$11,640
✓
No new patients needed. The revenue already exists inside your senior patient base. We unlock it.
✓
We make the MD calls. We contact physicians for medical necessity letters — your staff does nothing extra.
✓
Certified medical billing. Medicare requires medical codes — not dental codes. Our team codes and files correctly.
✓
Transparent fees. Fees are tiered by reimbursement amount and fully disclosed to patients before any work begins.
✓
HIPAA compliant. Full audit trail, encrypted handling, Business Associate Agreement included.
📞 Call 408-634-0440 to partner with us
Important Legal Disclosure
YESONUS is an independent company.
We are NOT affiliated with Medicare.
YESONUS Dental Elite is not Medicare. We are not a government agency, a Medicare contractor, a Medicare supplement insurer, or an authorized representative of the Centers for Medicare & Medicaid Services (CMS). We have no affiliation with the federal Medicare program in any form. The Medicare name and program are property of the U.S. federal government.
What YESONUS IS
✓ An independent healthcare restitution company
✓ A Medicare billing and documentation service
✓ A patient and provider advocate
✓ Licensed, HIPAA-compliant, and fully insured
✓ A private company serving Medicare-eligible patients
What YESONUS IS NOT
✕ Not a Medicare program or government agency
✕ Not affiliated with CMS or the federal government
✕ Not a law firm or insurance company
✕ Not a Medicare Advantage plan or supplement
✕ Not a Medicare contractor or authorized agent
Medicare is a federal health insurance program administered by the Centers for Medicare & Medicaid Services (CMS). Eligibility for reimbursement is determined solely by Medicare's own coverage rules. YESONUS assists patients and providers in preparing, documenting, and submitting claims to Medicare — but makes no guarantee that any claim will be approved or reimbursed. All reimbursement decisions are made exclusively by Medicare. Service fees are charged regardless of Medicare's final determination and are non-refundable. YESONUS does not provide legal, medical, or insurance advice. HIPAA compliant. Phone: 408-634-0440 · start.yesonus.com
Get Started Today

Speak with a YESONUS
Dental Elite specialist.

Our team reviews your situation and tells you exactly what's possible — before you commit to anything.

📞 Call 408-634-0440
or apply online
start.yesonus.com
🦷 I'm a Patient — Apply Now I'm a Dental Provider →